Implications of the COVID-19 pandemic for people with bipolar disorders: A scoping review

Michele Fornaro1, Michele De Prisco1, Martina Billeci1

  • 1Section on Psychiatry, Department of Neuroscience, Reproductive Science and Odontostomatology Federico II University of Naples, Naples, Italy.

Insights

People with bipolar disorder (BD) are highly vulnerable during the COVID-19 pandemic, experiencing impacts on stressors, service use, infection risk, and preventative behaviors. Further research is crucial to understand and address these challenges.

Area of Science:

  • Public Health
  • Mental Health
  • Epidemiology

Background:

  • The COVID-19 pandemic has caused significant global health and societal disruption.
  • The specific impact on individuals with severe mental illness, such as bipolar disorder (BD), remains under-researched.

Purpose of the Study:

  • To conduct a scoping review on the impact of the COVID-19 pandemic on individuals with bipolar disorder (BD).
  • To identify key themes and knowledge gaps regarding BD and the pandemic.

Main Methods:

  • Systematic search of MEDLINE and EMBASE databases up to April 24, 2021.
  • Inclusion of studies covering clinical and public health themes related to BD during the pandemic.
  • Adherence to PRISMA-ScR guidelines for scoping reviews.

Main Results:

  • Fourteen papers were included, revealing four major themes: COVID-19 stressors' impact on BD, mental health service utilization, SARS-CoV-2 infection risk, and engagement in preventative behaviors.
  • Additional areas requiring further investigation were identified.

Conclusions:

  • The study confirms the heightened vulnerability of people with BD during the pandemic.
  • Further research is needed to compare pandemic impacts on BD patients with pre-pandemic data, the general population, and other severe mental illnesses to guide public health interventions.
Abstract

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